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BOOK REVIEWS
help prepare for oral board examinations, in which specific article citations would be beneficial. The information in this text is more detailed than that in other board review books, and valuable clinical management strategies, which may be difficult to find in other textbooks, are provided. If used in conjunction with study materials available from the American College of Obstetrics and Gynecology, this book would be an excellent preparation for written or oral board examinations. This book is also reasonably priced in comparison with some other board review texts. Deficiencies: The information in this text may precede actual board examination questions by several years. The detailed explanation sections are unwieldy; thus, clinicians with a limited amount of time to study may prefer shorter, more concise reviews. Clinicians studying for board examinations should not be daunted by the density of information contained in this text; the actual written board examinations are more practical and clinically oriented than this review suggests. Recommended Audience: Specialists in obstetrics and gynecology who wish to refresh their knowledge base with current information and those in training programs who are studying for either written or oral specialty board examinations. Overall Grading:
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Mary P. Evans, M.D., Department of Obstetrics and Gynecology, Mayo Clinic Rochester, Rochester, Minnesota
Atlas of Pediatric Orthopedic Surgery (in 2 vols), by Mihran O. Tachdjian, 1,541 pp, with illus, $275, Philadelphia, W. B. Saunders Company (telephone: 800-545-2522),1994, ISBN 0-7216-3733-7
Type of Book: A single-authored, comprehensive, and detailed atlas of pediatric orthopedic surgical procedures and techniques. Scope ofBook: The most comprehensive text of its kind, covering all areas of pediatric orthopedics. Contents: This two-volume atlas presents a detailed, step-by-step illustrated description of 256 surgical procedures; 124 of the technigues have been reproduced with revisions from the author's comprehensive four-volume text, Pediatric Orthopedics, and 132 new surgical procedures have been added. For each technique, the author lists indications, contraindications, requisites, radiographic equipment, patient position, operative method, special equipment needed (including catalog numbers), and postoperative care. Notes of caution are provided at appropriate points in the illustrations and text that summarize the author's considerable experience with these techniques. The text is anatomically organized into 10 chapters: neck-shoulder, arm, elbow, forearm-wrist, hand, pelvis-hip, thighknee, leg, foot, and spine. The comprehensive scope of this text is impressive, with 2,705 illustrations. Strengths: The book is exhaustively comprehensive and userfriendly. The illustrations and descriptions of surgical techniques are exceptionally well done. Deficiencies: Success rates, outcomes, and complications are not presented. Some difficult surgical procedures seem to be deceptively simple to perform. In order to be comprehensive, the text includes several infrequently used, rarely indicated procedures. Thus, readers must exercise considerable judgment, based on expe-
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rience and training, before embarking on the surgical procedures so beautifully illustrated in this book. Recommended Audience: Practicing pediatric and general orthopedic surgeons, orthopedic residents, investigators, and researchers in orthopedics. Overall Grading:
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William J. Shaughnessy, M.D., Division of Pediatric Orthopedics, Mayo Clinic Rochester, Rochester, Minnesota
Clinical Anesthesia Practice, edited by Robert R. Kirby and Nikolaus Gravenstein, 1,458 pp, with illus, $85, Philadelphia, W. B. Saunders Company (telephone: 800-545-2522), 1994, ISBN 07216-3328-5
Type of Book: A multiauthored text that focuses on the clinical application of anesthesia. Scope ofBook: The first section presents the fundamental concepts of clinical anesthesia, followed by a section in which each chapter describes the relevant information needed for anesthesia for specific surgical subspecialties. Contents: This book is divided into 10 sections. The first section is unique and outlines the necessary measures for providing a safe anesthetic practice, including quality assurance, risk and outcome analysis, medicolegal issues, and financial implications. Section II describes specific organ systems and their effect on anesthetic management. Sections III and IV focus on anesthetic equipment and monitoring. Sections V and VI present anatomic characteristics and specific techniques relevant to anesthetic practice. Section VII discusses the pharmacologic properties of anesthetic agents, and section VIII reviews abnormal physiologic aspects and their control or influence by anesthetic agents. Section IX addresses blood-borne hazards, electrical safety, and radiologic procedures. Section X, a composite of the preceding chapters, presents specific types of operations in conjunction with the relevant anatomic, physiologic, and pharmacologic features, surgical procedure, and anesthetic intervention in an approach to clinical management, including anesthetic considerations, special problems, surgical intervention for outpatients, and approaches and problem solving for the following specific surgical subspecialties: cardiothoracic and vascular, ear, nose, and throat, obstetrics, neurologic, and transplantation. Strengths: The text provides a general overview of the scope of anesthetic management in an easily readable format. Deficiencies: Because this text encompasses the scope of anesthesiology, it is, of necessity, a superficial overview. Each topic within a chapter is preceded by a commonly asked question, which is meant to be answered. The questions seem artificial and could have been more conventional. Some references are misnumbered, a factor that makes checking an original article for more in-depth information difficult. Recommended Audience: Medical students, residents in anesthesiology, and practicing anesthesiologists. Overall Grading:
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Leslie N. Milde, M.D., Department ofAnesthesiology, Mayo Clinic Rochester, Rochester, Minnesota
For personal use. Mass reproduce only with permission from Mayo Clinic Proceedings.